©Jason McConnel 2025 ALL RIGHTS RESERVED.
Nurs550 Midterm Exam Questions With
Correct Answers A+
Gallbladder disease risk factors - Answer✔family hx, diet-fatty foods, female,
Gallbladder disease- subjective symptoms - Answer✔pain in RUQ which radiates to R Shoulder,
report of N/V, subjective fever
Gallbladder disease- objective symptoms - Answer✔+ Murphys sign, fever, jaundice
Gallbladder disease diagnostics - Answer✔RUQ ultrasound (first), HIDA scan- if negative U/S
but symptoms persist, elevated liver enzymes/lipase/amylase/leukocytosis
Pancreatitis risk factors - Answer✔ETOH abuse, some diabetic meds, older patients, HLD, renal
transplant patients
Pancreatitis subjective findings - Answer✔severe RUQ pain/or-epigastric pain and radiates to the
back
Pancreatitis objective findings - Answer✔Abdominal tenderness, abdominal distension,
hypoactive bowel sounds. s/s-shock poor prognosis
Pancreatitis diagnosed by - Answer✔CBC to rule out infection, Elevated amylase (3x higher
than normal), increased lipase, if leukocytosis- draw CRP-if positive think , sometimes elevated
LFT, necrotizing pancreatitis. Upright abdominal film, CT of abdomen
normal lipase - Answer✔0-160
Lipase levels in acute pancreatitis - Answer✔3-4x normal level
Normal WBC count - Answer✔4,000-11,000
Leukocytosis - Answer✔Abnormally high WBC count, greater than 11k
AST - Answer✔Typically the range for normal AST is reported between 10 to 40 units per liter
ALT - Answer✔ALT between 7 to 56 units per liter.
GERD (gastroesophageal reflux disease) risk factors - Answer✔weak LES, obesity, NSAID
GERD Subjective Data - Answer✔heartburn, belching, wheezing cough
GERD Objective Data - Answer✔normal exam
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, ©Jason McConnel 2025 ALL RIGHTS RESERVED.
GERD diagnosis - Answer✔PPI trial
Peptic Ulcer Disease causes - Answer✔- H. pylori infection, aspirin induced
- stress, smoking, age 50-55, systemic corticoid steroids
- hormones
Peptic ulcer- subjective findings - Answer✔weight loss, bloating, belching, pain improves after
eating
peptic ulcer- objective findings - Answer✔typically normal, possible abdominal tenderness, if
peritoneal signs consider rupture of ulcer
Peptic Ulcer Disease diagnosis - Answer✔stool guaic, h-pylori testing,
Appendicitis - Objective symptoms - Answer✔RLQ pain, +obturator, +rosvings, +psoas
Appendicitis subjective findings - Answer✔severe RLQ pain(starts general-moves to umbilical
area then moves to RLQ). in males pain may radiate to right testicle. nausea, loss of appetite,
feeling the need to defacate, increased pain with movement or cough
diverticulosis risk factors - Answer✔- low-fiber diet
- chronic constipation
- (+) family hx, or marfans condition
- old age- greater than 60
Diverticulosis Diagnosis - Answer✔colonoscopy( after 7-10 days), ct scan (this is if you need
confirmation, typically diagnosed by symptoms) , +occult stool blood, leukocytosis
Signs of peritonitis - Answer✔-positive cough test
-guarding
-rigidity
-rebound tenderness
-percussion tenderness
Murphy's sign - Answer✔pain with palpation of the RUQ during inspiration, indicative of
cholecystitis
Psoas sign - Answer✔pain produced with bending of the patient's knees to chest or having the
patient extend right leg while your hand is supporting their knee, if pain in RLQ, that may
indicate appendicitis
Obturator sign - Answer✔pain in the lower abdomen or inside of thigh when the hip is flexed
and internally rotated; a sign of appendicitis
2|Page
Nurs550 Midterm Exam Questions With
Correct Answers A+
Gallbladder disease risk factors - Answer✔family hx, diet-fatty foods, female,
Gallbladder disease- subjective symptoms - Answer✔pain in RUQ which radiates to R Shoulder,
report of N/V, subjective fever
Gallbladder disease- objective symptoms - Answer✔+ Murphys sign, fever, jaundice
Gallbladder disease diagnostics - Answer✔RUQ ultrasound (first), HIDA scan- if negative U/S
but symptoms persist, elevated liver enzymes/lipase/amylase/leukocytosis
Pancreatitis risk factors - Answer✔ETOH abuse, some diabetic meds, older patients, HLD, renal
transplant patients
Pancreatitis subjective findings - Answer✔severe RUQ pain/or-epigastric pain and radiates to the
back
Pancreatitis objective findings - Answer✔Abdominal tenderness, abdominal distension,
hypoactive bowel sounds. s/s-shock poor prognosis
Pancreatitis diagnosed by - Answer✔CBC to rule out infection, Elevated amylase (3x higher
than normal), increased lipase, if leukocytosis- draw CRP-if positive think , sometimes elevated
LFT, necrotizing pancreatitis. Upright abdominal film, CT of abdomen
normal lipase - Answer✔0-160
Lipase levels in acute pancreatitis - Answer✔3-4x normal level
Normal WBC count - Answer✔4,000-11,000
Leukocytosis - Answer✔Abnormally high WBC count, greater than 11k
AST - Answer✔Typically the range for normal AST is reported between 10 to 40 units per liter
ALT - Answer✔ALT between 7 to 56 units per liter.
GERD (gastroesophageal reflux disease) risk factors - Answer✔weak LES, obesity, NSAID
GERD Subjective Data - Answer✔heartburn, belching, wheezing cough
GERD Objective Data - Answer✔normal exam
1|Page
, ©Jason McConnel 2025 ALL RIGHTS RESERVED.
GERD diagnosis - Answer✔PPI trial
Peptic Ulcer Disease causes - Answer✔- H. pylori infection, aspirin induced
- stress, smoking, age 50-55, systemic corticoid steroids
- hormones
Peptic ulcer- subjective findings - Answer✔weight loss, bloating, belching, pain improves after
eating
peptic ulcer- objective findings - Answer✔typically normal, possible abdominal tenderness, if
peritoneal signs consider rupture of ulcer
Peptic Ulcer Disease diagnosis - Answer✔stool guaic, h-pylori testing,
Appendicitis - Objective symptoms - Answer✔RLQ pain, +obturator, +rosvings, +psoas
Appendicitis subjective findings - Answer✔severe RLQ pain(starts general-moves to umbilical
area then moves to RLQ). in males pain may radiate to right testicle. nausea, loss of appetite,
feeling the need to defacate, increased pain with movement or cough
diverticulosis risk factors - Answer✔- low-fiber diet
- chronic constipation
- (+) family hx, or marfans condition
- old age- greater than 60
Diverticulosis Diagnosis - Answer✔colonoscopy( after 7-10 days), ct scan (this is if you need
confirmation, typically diagnosed by symptoms) , +occult stool blood, leukocytosis
Signs of peritonitis - Answer✔-positive cough test
-guarding
-rigidity
-rebound tenderness
-percussion tenderness
Murphy's sign - Answer✔pain with palpation of the RUQ during inspiration, indicative of
cholecystitis
Psoas sign - Answer✔pain produced with bending of the patient's knees to chest or having the
patient extend right leg while your hand is supporting their knee, if pain in RLQ, that may
indicate appendicitis
Obturator sign - Answer✔pain in the lower abdomen or inside of thigh when the hip is flexed
and internally rotated; a sign of appendicitis
2|Page
